Choledocholithiasis (patient information)

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What is Choledocholithiasis?

Choledocholithiasis is the presence of a gallstone in the common bile duct. The stone may consist of bile pigments or calcium and cholesterol salts.

What are the symptoms of Choledocholithiasis?

Symptoms usually do not occur unless the stone blocks the common bile duct. Symptoms that may occur include:

• Abdominal pain in the right upper or middle upper abdomen that may:
  • Come and go
  • Be sharp, cramping, or dull
  • Spread to the back or below the right shoulder blade
  • Get worse after eating fatty or greasy foods
  • Occurs within minutes of a meal
• Fever
• Loss of appetite
• Jaundice (yellowing of skin and whites of eyes)
• Nausea
• Vomiting

Who is at risk for Choledocholithiasis?

Risk Factors include:

• A previous medical history of gallstones

Choledocholithiasis can occur in people who have had their gallbladder removed

When to seek urgent medical care

Call for an appointment with your health care provider if abdominal pain with or without fever develops that is not attributable to other causes, if jaundice develops, or if other symptoms suggestive of choledocholithiasis occur.

Treatment options

The goal of treatment is to relieve the blockage.

Treatment may involve:

• Surgery to remove the gallbladder and stones
• ERCP and a procedure called a sphincterotomy, which makes a surgical cut into the muscle in the common bile duct.

Where to find medical care for Choledocholithiasis

Directions to Hospitals Treating Choledocholithiasis